临床护理路径联合造口袋在消化道瘘患者中的应用及对患者不良反应发生的影响

Clinical nursing path combined with stoma in patients with gastrointestinal fistula and its effect on adverse reactions

目的探讨临床护理路径联合造口袋在消化道瘘患者中的应用及对患者不良反应发生的影响。方法选取2017年10月至2019年9月于该院进行治疗的消化道瘘患者84例,针对护理干预方式的不同进行分组,分为对照组与研究组各42例。两组患者治疗中均应用造口袋治疗,在此基础上对照组应用常规护理,研究组应用临床护理路径干预。对比两组患者瘘口创面指标、舒适度以及不良反应情况。结果研究组瘘口创面各指标状况均比对照组理想(P<0.05);护理后,研究组患者各方面的舒适度限制性评分均低于对照组(P<0.05);研究组引流管周皮肤感染、漏口皮周感染、切口敷料感染的总发生率比对照组低(P<0.05)。结论应用造口袋治疗消化道瘘,同时辅以临床护理路径,可降低患者不良反应发生率,利于患者瘘口创面各指标恢复,使得患者生活质量得到提升,患者感染率更低,可考虑普及。

Objective To explore the application of clinical nursing path combined with pocketing in patients with gastrointestinal fistula and the influence on the occurrence of adverse reactions in patients.Methods A total of 84 patients with gastrointestinal fistula admitted to this hospital for treatment during the period from October 2017 to September 2019 were selected.According to different nursing intervention methods,they were divided into control group and research group,with 42 cases in each group.Patients in both groups were treated with ostomy bag therapy.On this basis,routine nursing was applied in the control group and clinical nursing route intervention was applied in the research group.The index of fistula wound surface,comfort level and adverse reactions of patients in the two groups were compared.Results The condition of fistula wound in the research group was better than that in the control group,and the difference was statistically significant(P<0.05).The comfort restriction scores of the research group were lower than those of the control group after nursing,and the difference was statistically significant(P<0.05).The total incidence of skin infection around drainage tube and percutaneous infection around leakage and wound dressing infection in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The application of pocket stomy in the treatment of gastrointestinal fistula,combined with clinical nursing path,can reduce the incidence of adverse reactions in patients,facilitate the recovery of various indicators of fistula wound,improve the quality of life of patients,and lower infection rate of patients,so it can be considered for popularization.